|
L&D RECOVERY: 1-15 MIN
|
Facility
|
OP
|
$166.00
|
|
| Hospital Charge Code |
7319047
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$4.71 |
| Max. Negotiated Rate |
$83.00 |
| Rate for Payer: Aetna Commercial |
$63.08
|
| Rate for Payer: Aetna Medicare Advantage |
$49.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$42.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$42.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$42.33
|
| Rate for Payer: Cigna Commercial |
$83.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$43.16
|
| Rate for Payer: Oxford Commercial |
$33.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$33.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$5.25
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$4.71
|
|
|
L&D RECOVERY: 1-15 MIN
|
Facility
|
IP
|
$166.00
|
|
| Hospital Charge Code |
7319047
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$24.90 |
| Max. Negotiated Rate |
$24.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$24.90
|
|
|
L&D RECOVERY: 121-135 MIN
|
Facility
|
IP
|
$1,489.00
|
|
| Hospital Charge Code |
7319063
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$223.35 |
| Max. Negotiated Rate |
$223.35 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$223.35
|
|
|
L&D RECOVERY: 121-135 MIN
|
Facility
|
OP
|
$1,489.00
|
|
| Hospital Charge Code |
7319063
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$42.29 |
| Max. Negotiated Rate |
$744.50 |
| Rate for Payer: Aetna Commercial |
$565.82
|
| Rate for Payer: Aetna Medicare Advantage |
$446.70
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$379.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$379.69
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$379.69
|
| Rate for Payer: Cigna Commercial |
$744.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$387.14
|
| Rate for Payer: Oxford Commercial |
$297.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$223.35
|
| Rate for Payer: UnitedHealthcare Commercial |
$297.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$47.05
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$42.29
|
|
|
L&D RECOVERY: 136-150 MIN
|
Facility
|
IP
|
$1,654.00
|
|
| Hospital Charge Code |
7319065
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$248.10 |
| Max. Negotiated Rate |
$248.10 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.10
|
|
|
L&D RECOVERY: 136-150 MIN
|
Facility
|
OP
|
$1,654.00
|
|
| Hospital Charge Code |
7319065
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$46.97 |
| Max. Negotiated Rate |
$827.00 |
| Rate for Payer: Aetna Commercial |
$628.52
|
| Rate for Payer: Aetna Medicare Advantage |
$496.20
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$421.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$421.77
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$421.77
|
| Rate for Payer: Cigna Commercial |
$827.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$430.04
|
| Rate for Payer: Oxford Commercial |
$330.80
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$248.10
|
| Rate for Payer: UnitedHealthcare Commercial |
$330.80
|
| Rate for Payer: UnitedHealthcare Community & State |
$52.27
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$46.97
|
|
|
L&D RECOVERY: 151-165 MIN
|
Facility
|
OP
|
$1,820.00
|
|
| Hospital Charge Code |
7319067
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$51.69 |
| Max. Negotiated Rate |
$910.00 |
| Rate for Payer: Aetna Commercial |
$691.60
|
| Rate for Payer: Aetna Medicare Advantage |
$546.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$464.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$464.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$464.10
|
| Rate for Payer: Cigna Commercial |
$910.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$473.20
|
| Rate for Payer: Oxford Commercial |
$364.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$273.00
|
| Rate for Payer: UnitedHealthcare Commercial |
$364.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$57.51
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$51.69
|
|
|
L&D RECOVERY: 151-165 MIN
|
Facility
|
IP
|
$1,820.00
|
|
| Hospital Charge Code |
7319067
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$273.00 |
| Max. Negotiated Rate |
$273.00 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$273.00
|
|
|
L&D RECOVERY: 16-30 MIN
|
Facility
|
OP
|
$331.00
|
|
| Hospital Charge Code |
7319049
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$9.40 |
| Max. Negotiated Rate |
$165.50 |
| Rate for Payer: Aetna Commercial |
$125.78
|
| Rate for Payer: Aetna Medicare Advantage |
$99.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$84.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$84.41
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$84.41
|
| Rate for Payer: Cigna Commercial |
$165.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$86.06
|
| Rate for Payer: Oxford Commercial |
$66.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.65
|
| Rate for Payer: UnitedHealthcare Commercial |
$66.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$10.46
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$9.40
|
|
|
L&D RECOVERY: 16-30 MIN
|
Facility
|
IP
|
$331.00
|
|
| Hospital Charge Code |
7319049
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$49.65 |
| Max. Negotiated Rate |
$49.65 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$49.65
|
|
|
L&D RECOVERY: 166-180 MIN
|
Facility
|
OP
|
$1,985.00
|
|
| Hospital Charge Code |
7319069
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$56.37 |
| Max. Negotiated Rate |
$992.50 |
| Rate for Payer: Aetna Commercial |
$754.30
|
| Rate for Payer: Aetna Medicare Advantage |
$595.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$506.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$506.18
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$506.18
|
| Rate for Payer: Cigna Commercial |
$992.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$516.10
|
| Rate for Payer: Oxford Commercial |
$397.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$297.75
|
| Rate for Payer: UnitedHealthcare Commercial |
$397.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$62.73
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$56.37
|
|
|
L&D RECOVERY: 166-180 MIN
|
Facility
|
IP
|
$1,985.00
|
|
| Hospital Charge Code |
7319069
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$297.75 |
| Max. Negotiated Rate |
$297.75 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$297.75
|
|
|
L&D RECOVERY: 181-195 MIN
|
Facility
|
IP
|
$2,150.00
|
|
| Hospital Charge Code |
7319071
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$322.50 |
| Max. Negotiated Rate |
$322.50 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$322.50
|
|
|
L&D RECOVERY: 181-195 MIN
|
Facility
|
OP
|
$2,150.00
|
|
| Hospital Charge Code |
7319071
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$61.06 |
| Max. Negotiated Rate |
$1,075.00 |
| Rate for Payer: Aetna Commercial |
$817.00
|
| Rate for Payer: Aetna Medicare Advantage |
$645.00
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$548.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$548.25
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$548.25
|
| Rate for Payer: Cigna Commercial |
$1,075.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$559.00
|
| Rate for Payer: Oxford Commercial |
$430.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$322.50
|
| Rate for Payer: UnitedHealthcare Commercial |
$430.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$67.94
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$61.06
|
|
|
L&D RECOVERY: 196-210 MIN
|
Facility
|
OP
|
$2,315.00
|
|
| Hospital Charge Code |
7319073
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$65.75 |
| Max. Negotiated Rate |
$1,157.50 |
| Rate for Payer: Aetna Commercial |
$879.70
|
| Rate for Payer: Aetna Medicare Advantage |
$694.50
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$590.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$590.33
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$590.33
|
| Rate for Payer: Cigna Commercial |
$1,157.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$601.90
|
| Rate for Payer: Oxford Commercial |
$463.00
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$347.25
|
| Rate for Payer: UnitedHealthcare Commercial |
$463.00
|
| Rate for Payer: UnitedHealthcare Community & State |
$73.15
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$65.75
|
|
|
L&D RECOVERY: 196-210 MIN
|
Facility
|
IP
|
$2,315.00
|
|
| Hospital Charge Code |
7319073
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$347.25 |
| Max. Negotiated Rate |
$347.25 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$347.25
|
|
|
L&D RECOVERY: 211-225 MIN
|
Facility
|
OP
|
$2,481.00
|
|
| Hospital Charge Code |
7319075
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$70.46 |
| Max. Negotiated Rate |
$1,240.50 |
| Rate for Payer: Aetna Commercial |
$942.78
|
| Rate for Payer: Aetna Medicare Advantage |
$744.30
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$632.65
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$632.65
|
| Rate for Payer: Cigna Commercial |
$1,240.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$645.06
|
| Rate for Payer: Oxford Commercial |
$496.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
| Rate for Payer: UnitedHealthcare Commercial |
$496.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$78.40
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$70.46
|
|
|
L&D RECOVERY: 211-225 MIN
|
Facility
|
IP
|
$2,481.00
|
|
| Hospital Charge Code |
7319075
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$372.15 |
| Max. Negotiated Rate |
$372.15 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$372.15
|
|
|
L&D RECOVERY: 226-240 MIN
|
Facility
|
OP
|
$2,646.00
|
|
| Hospital Charge Code |
7319077
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$75.15 |
| Max. Negotiated Rate |
$1,323.00 |
| Rate for Payer: Aetna Commercial |
$1,005.48
|
| Rate for Payer: Aetna Medicare Advantage |
$793.80
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$674.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$674.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$674.73
|
| Rate for Payer: Cigna Commercial |
$1,323.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$687.96
|
| Rate for Payer: Oxford Commercial |
$529.20
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$396.90
|
| Rate for Payer: UnitedHealthcare Commercial |
$529.20
|
| Rate for Payer: UnitedHealthcare Community & State |
$83.61
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$75.15
|
|
|
L&D RECOVERY: 226-240 MIN
|
Facility
|
IP
|
$2,646.00
|
|
| Hospital Charge Code |
7319077
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$396.90 |
| Max. Negotiated Rate |
$396.90 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$396.90
|
|
|
L&D RECOVERY: 31-45 MIN
|
Facility
|
IP
|
$497.00
|
|
| Hospital Charge Code |
7319051
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$74.55 |
| Max. Negotiated Rate |
$74.55 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$74.55
|
|
|
L&D RECOVERY: 31-45 MIN
|
Facility
|
OP
|
$497.00
|
|
| Hospital Charge Code |
7319051
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$14.11 |
| Max. Negotiated Rate |
$248.50 |
| Rate for Payer: Aetna Commercial |
$188.86
|
| Rate for Payer: Aetna Medicare Advantage |
$149.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$126.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$126.73
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$126.73
|
| Rate for Payer: Cigna Commercial |
$248.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$129.22
|
| Rate for Payer: Oxford Commercial |
$99.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$74.55
|
| Rate for Payer: UnitedHealthcare Commercial |
$99.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$15.71
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$14.11
|
|
|
L&D RECOVERY: 46-60 MIN
|
Facility
|
IP
|
$662.00
|
|
| Hospital Charge Code |
7319053
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$99.30 |
| Max. Negotiated Rate |
$99.30 |
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.30
|
|
|
L&D RECOVERY: 46-60 MIN
|
Facility
|
OP
|
$662.00
|
|
| Hospital Charge Code |
7319053
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$18.80 |
| Max. Negotiated Rate |
$331.00 |
| Rate for Payer: Aetna Commercial |
$251.56
|
| Rate for Payer: Aetna Medicare Advantage |
$198.60
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$168.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$168.81
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$168.81
|
| Rate for Payer: Cigna Commercial |
$331.00
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$172.12
|
| Rate for Payer: Oxford Commercial |
$132.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$99.30
|
| Rate for Payer: UnitedHealthcare Commercial |
$132.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$20.92
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$18.80
|
|
|
L&D RECOVERY: 61-75 MIN
|
Facility
|
OP
|
$827.00
|
|
| Hospital Charge Code |
7319055
|
|
Hospital Revenue Code
|
710
|
| Min. Negotiated Rate |
$23.49 |
| Max. Negotiated Rate |
$413.50 |
| Rate for Payer: Aetna Commercial |
$314.26
|
| Rate for Payer: Aetna Medicare Advantage |
$248.10
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity |
$210.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care |
$210.88
|
| Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO |
$210.88
|
| Rate for Payer: Cigna Commercial |
$413.50
|
| Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC |
$215.02
|
| Rate for Payer: Oxford Commercial |
$165.40
|
| Rate for Payer: Qualcare PPO/HMO/WC |
$124.05
|
| Rate for Payer: UnitedHealthcare Commercial |
$165.40
|
| Rate for Payer: UnitedHealthcare Community & State |
$26.13
|
| Rate for Payer: Wellpoint Medicaid Managed Care |
$23.49
|
|